The pain in the area above the waist may be physiological factors, or it may be a symptom of certain diseases, such as intercostal neuritis, herpes zoster, lumbar muscle strain, lumbar intervertebral disc herniation, etc., and you should consult a doctor to find out the cause of the disease in time. 1. Physiological factors: prolonged physical labor or strenuous exercise, resulting in injury to the muscles of the upper lumbar region, pain will occur. 2. Pathological factors (1) Intercostal neuritis: If there is viral infection, or thoracic spine degeneration, thoracic spine sclerospondylitis and other diseases, which compresses the intercostal nerve, it may lead to pain in the upward part of the waist along the direction of the intercostal nerve, and it may be tingling, hidden pain or radiating pain. (2) Herpes zoster: Herpes zoster is caused by varicella zoster virus infection, may appear on the surface of the skin gathered blisters, and there will be localized pain, if it grows in the upper part of the waist, there may be pain. (3) Lumbar muscle strain: It is a common disease that may be caused by repeated strain and trauma, etc. Lumbar muscle strain occurs in the area above the waist, and localized pain may occur. (4) Lumbar disc herniation: Lumbar disc herniation is usually caused by degenerative lesions of the lumbar discs, which often causes pain in the lower back, and in serious cases, pain may occur in the upper lumbar region. When the symptoms of pain in the upper lumbar region occur, you should pay attention to rest, avoid strenuous exercise, and protect the lumbar region. If there is no relief for a long time, you should go to the hospital as soon as possible to receive specific treatment to avoid aggravation of the condition.